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General NPI Number Information
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NPI Number | 1891074753
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Entity Type | Individual
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Provider Name | DANIEL RICHARD ACNP-BC, FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 08/10/2011
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Last Update Date | 06/23/2023
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Provider Practice Location Address
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Address Line | 24 STILES RD STE 201A
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City | SALEM
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State | NH
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Zip | 03079-2878
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Country | US
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Telephone | 978-361-6650
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Fax |
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Provider Business Mailing Address
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Address Line | 4 LIBERTY ST
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City | SALISBURY
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State | MA
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Zip | 01952-2118
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Country | US
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Telephone | 978-361-6650
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | RN260716
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 065009-23
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License Number State | NH
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